Mummy and Me Magazine August 2014 July 2014 | Page 24

11 12 13 14 15 16 17 18 19 = = = = = = = = = Black/Black British-Caribbean Other Black/Black British White/Asian White/Black (African) White/Black (Caribbean) Other Mixed Chinese Other Ethnic Group Refused Prenton 0151 608 7253 St.Helens & Knowsley During the month of July, children’s activities are subject to change. Please contact your St.Helens & Knowsley children’s centres for up to date information. I understand that Wirral Children’s Centres will record and share the above information to Full them in _______________________________________________________ help Name their service provision. I agree to the information about myself and my dependants, as ____________________________Start Children’s Centre database. I Date of Birth outlined above, being kept on the Sure Gender: Male Female understand that this information will be used for monitoring and evaluation purposes, and will be processed in accordance with the Data Protection Act. In providing the details of an Disability/Special Needs __________________________________________ additional parent/carer I accept responsibility for informing them that I have passed their Ethnicity Code (see table below) ____ details onto the Children’s Centre. I give permission for the Sure Start Children’s Centre to contact us regarding their services and to share this information with its partner agencies. Home Address (If different) _________________________________________ _______________________________________________________________ Signed ________________________________ Date __________________ ACTIVITY TIMETABLE Print Name _____________________________________________________ Full Name _______________________________________________________ Full Name _______________________________________________________ Relationship to Child (Mother/Father/etc) ______________________________ Date of Birth ____________________________ Gender: Male Female Female Date of Birth ____________________________ Gender: Male Disability/Special Needs __________________________________________ Disability/Special Needs __________________________________________ Ethnicity Code (see table below) ____ Ethnicity Code (see table below) ____ Home Address (If different) _________________________________________ Home Address (If different) _________________________________________ _______________________________________________________________ _______________________________________________________________ Full Name _______________________________________________________ Full Name _______________________________________________________ Female Date of Birth ____________________________ Gender: Male Date of Birth ____________________________ Gender: Male Female T Infant Feeding Team Whiston hospital he aim of the Infant Feeding Team is to encourage parents to make an informed choice about the feeding choices for their baby and support them in that choice. The Infant Feeding Team is based at Whiston hospital and offers support and advice to parents regarding their feeding choices. What’s on offer? We offer antenatal feeding awareness sessions for parents. Parents can attend for evidence based information on infant feeding and gain SurestartNoticeStHelens.indd 1 practical skills. This helps parents to feel empowered to breast feed and make an informed choice on how they will feed their baby. Disability/Special Needs __________________________________________ Disability/Special Needs __________________________________________ The Breast Feeding Drop in Clinic Ethnicity Code (see table below) ____ Ethnicity Code (see table below) ____ The ‘Breast Feeding_________________________________________ Drop In’ clinic is available Home Address (If different) _________________________________________ Home Address (If different) every Friday from 10-12 am in the Parentcraft ____________________________ }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}|)}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}|)I